Our Summary
This research paper investigates the risk, frequency, and long-term results of a condition called retinal detachment in patients who have undergone a specific eye surgery (23G Pars Plana Vitrectomy) after experiencing a severe eye infection called endophthalmitis.
The researchers examined the medical records of 116 patients from 2009 to 2018. They found that this severe eye infection was commonly caused by a previous eye surgery (cataract surgery) or a treatment that involves injecting medication into the eye.
They discovered that, on average, signs of this infection showed up five days after these procedures. More importantly, about 22% of the patients who had this severe infection ended up developing retinal detachment (where the eye’s retina peels away from its normal position) roughly 25 days after the infection.
The study highlights that there’s a strong link between the patients’ vision quality before the operation and the likelihood of retinal detachment. In simpler terms, if a patient’s vision was already poor before the surgery, they had a higher chance of the retina detaching after dealing with the severe infection.
The researchers stress the importance of keeping an eye on the patients’ vision quality before surgery, as it could predict the risk of developing retinal detachment when treating endophthalmitis with this particular surgery.
FAQs
- What is the rate of retinal detachment after 23G Pars Plana Vitrectomy for endophthalmitis?
- What are the main risk factors for retinal detachment after post-operative endophthalmitis?
- How does preoperative visual acuity influence the development of retinal detachment in patients treated with 23G Pars Plana Vitrectomy for endophthalmitis?
Doctor’s Tip
A doctor may advise a patient undergoing retinal detachment surgery to closely monitor their visual acuity before and after the procedure, as preoperative visual acuity has been shown to be significantly associated with the development of retinal detachment after endophthalmitis. It is important to follow post-operative instructions carefully and attend all follow-up appointments to ensure the best possible outcome.
Suitable For
Patients who have developed retinal detachment after post-operative endophthalmitis following cataract surgery or intravitreal injection are typically recommended for retinal detachment surgery. These patients may have experienced a decline in visual acuity and may benefit from surgical intervention to improve their visual outcomes. The prognosis for these patients may be influenced by factors such as preoperative visual acuity.
Timeline
- Patient undergoes cataract surgery or intravitreal injection
- Endophthalmitis develops, typically within 5 days of the triggering intervention
- Retinal detachment may occur in 21.55% of cases, on average 25 days after endophthalmitis
- Preoperative visual acuity is significantly associated with the development of retinal detachment
- Patient undergoes 23G Pars Plana Vitrectomy for treatment
- Prognosis and functional outcome are assessed post-surgery.
What to Ask Your Doctor
- What is the rate of retinal detachment after 23G Pars Plana Vitrectomy for endophthalmitis following cataract surgery or intravitreal injection?
- What are the risk factors for developing retinal detachment after this type of surgery?
- What is the typical timeline for developing retinal detachment after endophthalmitis?
- How does preoperative visual acuity affect the likelihood of developing retinal detachment?
- What are the potential visual acuity outcomes following retinal detachment surgery?
- Are there any specific precautions or post-operative care measures that can help reduce the risk of retinal detachment?
- What is the overall prognosis for patients who develop retinal detachment after endophthalmitis and undergo 23G Pars Plana Vitrectomy?
Reference
Authors: Zheng Y, Casagrande M, Dimopoulos S, Bartz-Schmidt KU, Spitzer MS, Skevas C. Journal: BMC Ophthalmol. 2021 Dec 1;21(1):414. doi: 10.1186/s12886-021-02175-z. PMID: 34852777